CIF NO.(FOR OFFICE USE)ACCOUNT N0.(FOR OFFICE USE)Name in full of the StudentName in full -Parent / GuardianRelationship with the studentPARTICULARS1. Detailed Residential Address (House No.,Road Name, Locality, City, PIN, District, State)2. Office Address (House No., Road Name,Locality, City, PIN, District, State)3. Permanent Residential Address (House No.,Road Name, Locality, City, PIN, District, State)4. The name in which the correspondence should be addressed ( Mention 1st or 2nd applicant)5. Address for correspondence of (tickappropriate box) 6.E mail address 7. Date of birth ( DD / MM / YYYY)8. Age Years Months Years Months9.Telephone Number ( Office & Residence)9.A. Whether personal telephone is owned, if not the type of relationship with the owner :10.Mobile No. Fax No. Fax No.11. SexM F M F12. Marital Status ( Please also tick Single if no living spouse)Single Married Single Married13. ResidentialStatus ( indicate date of permanent return, if any)Resident NRI / PIO Resident NRI / PIO(a) Voter ID No. (a) Voter ID No.(b) Pass Port No. (b) Pass Port No.( c ) PAN( c ) PAN (d) (d)14.a. Particulars of Identification Proof, Issuedate, place, expiry date,etc. 15. If you don't have PAN, reasons thereof16. Do you belong to SC ST OBC** SC ST OBC**17. Number of dependentsChildren Others Children Others18 Educational / Professional qualifications14. Type of Identification Proof (Please indicatename of the document at ( d), if any**If yes, please enclose proof thereof.Office Residence OfficeResidenceStudentPermanent AddressFIRST NAMEMIDDLE NAME ( Father / Husband)Parent / Guardian STATE BANK OF INDIAEDUCATION LOANSURNAMEAPPLICATION CUM APPRAISAL FORM FOR EDUCATION LOAN(1) PERSONAL INFORMATION OF THE APPLICANTS(PLEASE COMPLETE ALL PARTICULARS INBLOCK LETTERS AND TICK BOXESWHEREEVER APPLICABLE)Residential Address Office addressSigned photograph of Parent / GuardianSigned photograph of StudentSHRIYA VATSMUNISH SHARMAPARENT1511,GALI ARYA SAMAJ BAZAAR SITA RAM,HAMDARD ASAF ALI ROAD,NEW DELHI, 110006, DELHI1511,GALI ARYA SAMAJ BAZAAR SITA RAM,HAMDARD ASAF ALI ROADNEW DELHI, 110006, DELHI1511,GALI ARYA SAMAJ BAZAAR SITA RAM,HAMDARD ASAF ALI ROADNEW DELHI, 110006, DELHIKEERTIMANMUNISH@GMAIL.COM08/ 05/ 199718 029873477617 9873477617CFXPS8313CHSC(10+2)1. Monthly Gross Salary2. Monthly Net Salary3. Particulars of deductions from gross salary4. Other Income as per I.T. return5. Annual Income as per I.T.return1. Name of the employer2. Name of the department3. Designation & Employee No.(if available)4. No.of years of present employment5. Date of retirementLease / Freehold DateB) VEHICLE / CAR - Please give details including registration number,etc.Name of the Security Serial No. Maturity valueEstimated Market Value1. Name of the Proposed Course of Study2. Name of the Institution, University, Country3. Reasons for selection of Institution / University4. Ranking of the Institution or course5. Duration of course6. Date of commencement of course7. Expected monthly income of student after completion of the course8. Employment potential after completion ofcourse1. Tution fees2. Essential Books, Stationery, equipments, ifany3. Examination fees4. Maintenance expenditure5. Insurance premia for the duration of loan andstart up periodTOTAL (Should tally with the sources)COST OF THE COURSE(6) LOAN REQUEST1. Details of non repayable studentship /fellowship, etc. available to the StudentSOURCES(2) FINANCIAL / INCOME INFORMATION OF THE PARENT / GUARDIAN(5) DETAILS OF THE COURSE / STUDY Address Estimated Market valueC) OTHER SECURITIESName of the holder Plot / Flat / House No.TOTAL (Should tally with the cost)4. Amount of loan applied for 3. Details of funds available from familysources for the course2. Details of repayable studentship /fellowship, etc. available to the Student(4) DETAILS OF SECURITY OFFEREDA) IMMOVABLE PROPERTY(3) EMPLOYMENT DETAILSOF THE PARENT / GUARDIANTitle deedIn the name of 25,000BACHELOR OF MASS COMMUNICATIONNBA GROUP OF INSTITUTIONS, GURU JAMBESHWAR UNIVERSITY OF SCIENCE AND TECHNOL, INDIA36 MONTHS3,94,0004,15,050PARTICULARS1. Savings in Bank (Savings Bank + FixedDeposits)1.a. How long the Account has been maintained?2. Immovable property3. Current PF balance(Your share)4. Investment in NSCs/Share / Debentures /bonds, etc.5. Jewellary / gold ornaments 6. LIC / Postal life, etc.7. Capital in various firms (your share), HUFshare and Share in Associate ConcernType of a/c A/c NumberPurposeDate of loan Loan AmtPresent outstandingsMode of paymentHousing loanCar loanPF LoanBorrowings from friends and relativesCredit SocietyOthers (Please specify)Other details EMIHousing loanCar loanPF LoanBorrowings from friends and relativesCredit SocietyOthers (Please specify)By Student By Guardian3. Do you have an existing relationship with SBI,if so, details thereof4. Do you wish to open a Savings Bank with SBI ?5. Is any guarantee given to SBI/Other bankYes No.If yes, details thereofBank Name / other details and a/c No.Mode of Repayment (How many months or how many EMIs ?)(10) PROPOSED / PREFERRED REPAYMENT AND PAYMENT OF INTERESTPayment of full interest as and when applied during the moratorium(9) DETAILS OF EXISTING LOANS ( FROM STATE BANK OF INDIA OR OTHER BANKS)(7) DETAILS OF FINANCIAL WORTH OF THE PARENT / GUARDIANName of the a/c holder (12) DOCUMENTS REQUIRED(8) ADDITIONAL DETAILS OF BANK ACCOUNTS OF THE PARENT / GUARDIANNameof Bank and branchI.T.Returns for the last 2 years ( if I.T.Assessee) duly accepted by the ITOStatement of bank account for the last six months of the guardian / parentMark sheet of last qualifying examination for school and graduate studies in IndiaCopies of letter conferring scholarship, free ship, etc.Documents evidencing duration of course of commencement thereof, viz. Prospectus or Certificate from the competentauthority of the Institution.Proof of admission to the courseSchedule of expenses for the courseTwo copies of pass port size photograph of the student / parent/ guardian /guarantorSalary certificate & form 16 of previous year ( in case of employed)Details ( Bank, branch, etc.) Amount (Rupees ) Bank's assessmentDetails of security chargedCopy of ranking of the University / Institution(11) GENERALNo interest will be paid during moratoriumAt Branch / OSF - At RACPC ( Data related to CIF Creation)VIP Code ( 0 for No , 1 forYes)Customer Type -Personal Relative Code(father / spouse)Occupancy (home owner,tenant,etc.)Customer evaluation requiredSegment CodeCIBIL Referencemade17.FOR OFFICE USE ONLY Place ------------------------------- Date _______________SIGNATURE OF THEAPPRAISING OFFICERSignature/s of the applicant/s obtained in our presence and verified and sent to RACPC on ______________Name & Signature ( Branch / OSF)Greetings requiredCIS Organization code Place ------------------------------- Date--------------------------------- Date--------------------------------- Signature of the studentSignature of the GuardianProof of residnece ( identity Card / Passport / Voter Identification Card / Driving licenceDECLARATIONI / We agree that State Bank of India may at its discretion conduct discreet inquiries in respect of this application. I / We undertake to inform as to any change in my /our occupation / employment, residential address and to provide any further information that the Bank may require. State Bank of India will be at liberty to take such action as itmay deem necessary if my / our above statements are found to be untrue. I / We agree that State Bank of India shall have the sole discretion to reject / reduce loan amount /our loan application without assigning any reason thereof. I / We further agree that my / our loan transactions shall be governed by the rules of State Bank of India which maybe in force from time to time. I also hereby give my consent to send the application to RACPC for sanction if in order and disbursement on sanction from RACPC or any Branchas per process prescribed by State Bank of India. I may carry out futuretransactions at the above mentionedBranch as Home Branch.Original sale deed and other document of title to property in respect of immvoable property offered as collateral security.OthersTax paid receipts etc. (Advance IT / PropertyTax / Municipal Tax, etc.)I / We hereby apply for a loan from State Bank of India to the extent indicated in the Loan Request Section of this application form. I / We declare that the foregoingparticulars and information furnished in this application form are true, accurate and complete and that they shall form the basis of any loan State Bank of India may decide tosanction to me / us. I / We confirm that I / We have / had no insolvency proceedings against me / us. Nor have, I / We been adjudicated insolvent. I / We further confirm that I/ We have read the terms and conditions and understood the contents therein. I / We am / are aware that if I / We opt for loan at floating rates of interest, the Equated MonthlyInstalment will comprise Principal and Interest based on State Bank Advance Ratewhich is subject to change from time to time.